Chittivelu, Giridhara K
Chittivelu, Giridhara K is an sole proprietor health care provider with primary practice located at 526 S Tonopah Dr Ste. 200, Las Vegas NV 89106-4043. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Chittivelu, Giridhara K can be contacted via phone (702) 291-2031.Contact Information
Primary practice address
526 S Tonopah Dr Ste. 200
Las Vegas NV 89106-4043
Phone: (702) 291-2031
Fax: (702) 366-1483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21385 | Massachusetts |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | S3-264 | Nevada |
Profile Details
| NPI number | 1902977168 |
|---|---|
| LBN Legal business name | Chittivelu, Giridhara K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jun 15th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902977168 | NPPES |
| Massachusetts | MEDICAID | 0205290 | |
| Massachusetts | MEDICAID | 1902977168 |
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